Dysphagia Due to Forestier Disease: Three Cases and Systematic Literature Review

Dutta, Sirshak; Mukherjee, Ankur; Basu, Asimjiban; Das, Somak; Sen, Indranil; Sinha, Ramanuj

doi:10.1007/s12070-011-0334-3

Cited by 30 publications

(21 citation statements)

References 27 publications

(28 reference statements)

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“…4,22,23 CT, X-ray, and MRI imaging are carried out to establish the diagnosis, and to assess the esophagus, the barium swallow test and esophageal and laryngeal endoscopy with the option of taking a biopsy are conducted. 4,27,44,51,52 An intrinsic cause (e.g. esophageal stricture, motility disorder, diverticula, neoplasms, etc.)…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of anterior cervical osteophytes causing dysphagia

Ruetten

Baraliakos

Godolias

et al. 2019

J Orthop Surg (Hong Kong)

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Dysphagia due to anterior cervical osteophytes is a rare condition. However, it can become serious enough to permanently impair the quality of life up to making normal food intake impossible. If conservative treatment fails, there is the option of surgical resection of the osteophytes. The objective of this study was to assess the outcomes of resections of anterior cervical osteophytes causing spondylogenic dysphagia, taking literature into consideration. Method: Resection of anterior cervical osteophytes using a standard anterior approach was performed in 14 consecutive patients with spondylogenic dysphagia between 2009 and 2015. Indomethacin or radiation was used to prevent recurrence. Imaging and clinical data were collected in follow-up examinations over an average of 50 months. Results: The osteophytes were sufficiently resected in all cases. Anterior plates were placed in three patients due to pronounced segmental mobility. Five patients were given recurrence prevention in the form of indomethacin, nine with radiation. One patient required revision surgery for a hematoma. No other serious complications were observed. All patients had significant improvement of their symptoms. No recurrences or signs of increasing instability were found during the follow-up period. Conclusion: When conservative treatment fails, surgical resection of cervical osteophytes is a sufficient method for treating spondylogenic dysphagia. High patient satisfaction and improvement of the quality of life are achieved with a low complication rate. Routine additional stabilization has been discussed as recurrence prevention. Prophylaxis using indomethacin or radiation, known primarily from hip replacement, also appears to be an option.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of anterior cervical osteophytes causing dysphagia

Ruetten

Baraliakos

Godolias

et al. 2019

J Orthop Surg (Hong Kong)

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“…However, when severe, it can manifest as dysphagia, stridor, dysphonia, aspiration pneumonia and weight loss. Cervical osteophytes can cause swallowing disorders through a variety of mechanisms, including: direct osteophyte compression of the pharynx and oesophagus, disturbances of normal epiglottis tilt, tissue inflammation and oedema around the oesophagus, and pharyngeal muscle spasm 4 11. Our case had diffuse levels of hyperostosis, particularly in the C3–C6 which led to dysphagia and aspiration.…”

Section: Discussionmentioning

confidence: 73%

Cervical diffuse idiopathic skeletal hyperostosis (DISH) causing oropharyngeal dysphagia

Candelario

Naranjo

2017

BMJ Case Reports

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Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory condition characterised by calcification and ossification of the vertebral ligaments. It is most commonly seen to affect the thoracic and lumbar vertebrae and is usually seen among elderly men. The cause of this condition is unknown. Risk factors include male gender, obesity, diabetes and advancing age. The majority of these cases are found incidentally on imaging and patients are generally asymptomatic. Cervical DISH is less common than its thoracic and lumbar counterparts. When symptomatic, it can cause dysphagia or sometimes airway compromise. If this happens, surgical intervention should be performed. Although a rare cause of dysphagia, DISH is easily diagnosed with imaging. When identified, surgical decompression produces very good clinical outcomes.

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“…La manifestación más frecuente cuando existe afectación de los segmentos C3-C7, es la disfagia, pudiendo afectar al 17,5-28% de los pacientes mayores de 60 años 5,7 . Si existe afectación de C3 y C4 puede existir disfonía, estenosis o parálisis de las cuerdas vocales.…”

Section: Discussionunclassified

Enfermedad de Forestier como causa de compresión cervicomedular. Reporte de un caso y revisión bibliográfica

Martos-Fernández

Bordonaba-Leiva

Sahuquillo

et al. 2017

Revista Española de Cirugía Oral y Maxilofacial

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Cómo citar este artículo: Martos-Fernández M, et al. Enfermedad de Forestier como causa de compresión cervicomedular. Reporte de un caso y revisión bibliográfica. Rev Esp Cir Oral Maxilofac. 2015. http://dx.Enfermedad de Forestier como causa de compresión cervicomedular. Reporte de un caso y revisión bibliográfica Forestier's disease as the cause of cervicomedullary compression. Case report and literature review Introducción La enfermedad de Forestier, de etiología aún desconocida, fue descrita por primera vez en 1950 por Forestier y Rotes-Querol 1 y, posteriormente, en 1976, Resnick y Niwayama utilizaron el término hiperostosis esquelética idiopática difusa (DISH) 2 .Para su diagnóstico son necesarios 3 criterios 2 : 1) Calcificación/osificación del ligamento longitudinal anterior de la comuna (LLCA) de al menos 4 cuerpos vertebrales continuos; 2) Altura discal intacta en el segmento involucrado, sin cambios degenerativos significativos, y 3) Ausencia de anquilosis facetaria, erosiones sacroilíacas o anquilosis articular extraespinal (diagnóstico diferencia con la espondilitis anquilosante). Su prevalencia aumenta a partir de los 60 años (V: 3,8%; M: 2,6%) 3 y su localización más frecuente es el segmento Figura 1 -Estudio radiológico: a) Signos radiológicos de hiperostosis cervical anterior de C2 a C6; b) RMN que muestra engrosamiento de partes blandas alrededor de la apófisis odontoides condicionando estenosis del canal raquídeo y voluminosos osteofitos a nivel anterior de C2-C6 que obliteran parcialmente la vía aérea.torácico, entre D7 y D11, aunque puede afectar a la región cervical inferior, especialmente entre C4 y C5 4 . Según publicaciones recientes, existe un mayor predominio de casos en la región mediterránea 5 y se ha observado una posible relación con la hiperinsulinemia, la hiperuricemia, la dislipemia, la obesidad, el uso prolongado de isoretinol y con espondiloartropatías seronegativas 6,7 .El objetivo de este artículo es reportar un caso de compromiso cervicomedular como consecuencia de la enfermedad de Forestier con rápido deterioro neurológico. Caso clínicoVarón de 72 años, sin antecedentes médicos de interés y bajo tratamiento con antiinflamatorios desde el año 2011 por

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Dysphagia Due to Forestier Disease: Three Cases and Systematic Literature Review

Cited by 30 publications

References 27 publications

Surgical treatment of anterior cervical osteophytes causing dysphagia

Surgical treatment of anterior cervical osteophytes causing dysphagia

Cervical diffuse idiopathic skeletal hyperostosis (DISH) causing oropharyngeal dysphagia

Enfermedad de Forestier como causa de compresión cervicomedular. Reporte de un caso y revisión bibliográfica

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